Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.31 / $781.00 / $3,272.04	Facility		$144.31	$781.00	$3,272.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.16 / $72.16 / $179.90	Facility	52	$72.16	$72.16	$179.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.86 / $28.86 / $71.95	Facility	53	$28.86	$28.86	$71.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $182.14 / $359.80	Professional		$83.44	$182.14	$359.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $75.31 / $99.79	Professional		$39.54	$75.31	$99.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.24 / $1,816.97 / $2,444.41	Facility		$1,497.24	$1,816.97	$2,444.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $153.40 / $240.90	Professional		$94.90	$153.40	$240.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $207.44 / $744.15	Professional		$112.45	$207.44	$744.15
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,234.00 / $2,481.00	Facility		$375.00	$1,234.00	$2,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $235.81 / $344.49	Professional		$164.57	$235.81	$344.49